INS CD-BEHAVIORIAL HEALTH House SponsorsRep. Lindsey LaPointe-Maurice A. West, II-Jenn Ladisch Douglass-Sonya M. Harper-Michael J. Kelly, Suzanne M. Ness, Kelly M. Cassidy, Anne Stava-Murray, Hoan Huynh, Kevin John Olickal, Norma Hernandez, Dagmara Avelar, Will Guzzardi, Gregg Johnson, Michelle Mussman, Terra Costa Howard, Nabeela Syed, Tracy Katz Muhl, Theresa Mah, Laura Faver Dias, Bob Morgan, Jay Hoffman, Katie Stuart, Stephanie A. Kifowit, Yolonda Morris, Maura Hirschauer, William E Hauter, Mark L. Walker and Matt Hanson Senate Sponsors(Sen. Karina Villa, Rachel Ventura, Michael E. Hastings, Laura Fine, Terri Bryant, Erica Harriss, Mike Simmons, Julie A. Morrison, Patrick J. Joyce-Robert Peters, Bill Cunningham, Mike Porfirio, Natalie Toro, Javier L. Cervantes, Adriane Johnson, Doris Turner, Steve Stadelman, Mark L. Walker, David Koehler, Laura M. Murphy, Ram Villivalam, Celina Villanueva, Robert F. Martwick, Linda Holmes, Sara Feigenholtz, Meg Loughran Cappel, Lakesia Collins and Christopher Belt-Mary Edly-Allen) 1/7/2025HouseSession Sine Die 5 ILCS 100/5-45.55 new215 ILCS 5/370c.3 new Amends the Illinois Insurance Code. Provides that the amendatory Act may be referred to as the Strengthening Mental Health and Substance Use Parity Act. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025, or any third-party administrator administering the behavioral health benefits for the insurer, shall cover all out-of-network medically necessary mental health and substance use benefits and services (inpatient and outpatient) as if they were in-network for purposes of cost sharing for the insured. Provides that the insured has the right to select the provider or facility of their choice and the modality, whether the care is provided via in-person visit or telehealth, for medically necessary care. Sets forth minimum reimbursement rates for certain behavioral health benefits. Sets forth provisions concerning responsibility for compliance with parity requirements; coverage and payment for multiple covered mental health and substance use services, mental health or substance use services provided under the supervision of a licensed mental health or substance treatment provider, and 60-minute individual psychotherapy; timely credentialing of mental health and substance use providers; Department of Insurance enforcement and rulemaking; civil penalties; and other matters. Amends the Illinois Administrative Procedure Act to authorize emergency rulemaking. Effective immediately.House Committee Amendment No. 1 Deletes reference to:5 ILCS 100/5-45.55 newAdds reference to:215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2Replaces everything after the enacting clause. Provides that the amendatory Act may be referred to as the Strengthening Mental Health and Substance Use Parity Act. Amends the Illinois Insurance Code. Provides that for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2026, or any contracted third party administering the behavioral health benefits for the insurer, reimbursement for in-network mental health and substance use disorder treatment services delivered by Illinois providers and facilities must be, on average, at least as favorable as professional services provided by in-network primary care providers. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025, or a contracted third party administering the behavioral health benefits for the insurer, to cover all medically necessary mental health or substance use disorder services received by the same insured on the same day from the same or different mental health or substance use provider or facility for both outpatient and inpatient care. Requires coverage of medically necessary mental health or substance use disorder services provided by behavioral health trainees under certain circumstances. Requires coverage of medically necessary 60-minute psychotherapy billed using the CPT Code 90837 for Individual Therapy. Sets forth provisions concerning timely contracting for becoming a participating mental health or substance use disorder treatment provider, enforcement, and rulemaking. Amends the Health Maintenance Organization Act to require health maintenance organizations to comply with the provisions of the Illinois Insurance Code added by the amendatory Act. Effective immediately.House Floor Amendment No. 2 Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. Provides that for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2026, or any contracted third party administering the behavioral health benefits for the insurer, reimbursement for in-network mental health and substance use disorder treatment services delivered by Illinois providers and facilities must be equal to or greater than 141% of the Medicare rate for the mental health or substance use disorder service delivered (rather than on average, at least as favorable as professional services provided by in-network primary care providers). Removes language providing that reimbursement rates for services paid to Illinois mental health and substance use disorder treatment providers and facilities do not meet the required standard unless the reimbursement rates are, on average, equal to or greater than 141% of the Medicare reimbursement rate for the same service. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 (rather than $5,000) for each violation. Excludes health care plans serving Medicaid populations that provide, arrange for, pay for, or reimburse the cost of any health care service for persons who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Makes other changes. Effective immediately. 1/17/2024HouseFiled with the Clerk by Rep. Lindsey LaPointe 1/17/2024HouseFirst Reading 1/17/2024HouseReferred to Rules Committee 2/7/2024HouseAdded Chief Co-Sponsor Rep. Maurice A. West, II 2/7/2024HouseAdded Chief Co-Sponsor Rep. Jenn Ladisch Douglass 2/9/2024HouseAdded Co-Sponsor Rep. Suzanne M. Ness 2/9/2024HouseAdded Co-Sponsor Rep. Kelly M. Cassidy 2/9/2024HouseAdded Co-Sponsor Rep. Anne Stava-Murray 2/9/2024HouseAdded Co-Sponsor Rep. Hoan Huynh 2/9/2024HouseAdded Co-Sponsor Rep. Kevin John Olickal 2/9/2024HouseAdded Co-Sponsor Rep. Norma Hernandez 2/14/2024HouseAssigned to Mental Health & Addiction Committee 2/20/2024HouseAdded Co-Sponsor Rep. Dagmara Avelar 2/20/2024HouseAdded Co-Sponsor Rep. Will Guzzardi 2/21/2024HouseAdded Co-Sponsor Rep. Gregg Johnson 2/22/2024HouseAdded Co-Sponsor Rep. Michelle Mussman 2/27/2024HouseAdded Co-Sponsor Rep. Terra Costa Howard 3/7/2024HouseAdded Co-Sponsor Rep. Nabeela Syed 3/20/2024HouseAdded Co-Sponsor Rep. Tracy Katz Muhl 3/27/2024HouseAdded Co-Sponsor Rep. Theresa Mah 4/1/2024HouseAdded Co-Sponsor Rep. Laura Faver Dias 4/2/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe 4/2/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee 4/3/2024HouseHouse Committee Amendment No. 1 Rules Refers to Mental Health & Addiction Committee 4/4/2024HouseHouse Committee Amendment No. 1 Adopted in Mental Health & Addiction Committee; by Voice Vote 4/4/2024HouseDo Pass as Amended / Short Debate Mental Health & Addiction Committee; 017-000-000 4/4/2024HousePlaced on Calendar 2nd Reading - Short Debate 4/10/2024HouseAdded Co-Sponsor Rep. Bob Morgan 4/12/2024HouseAdded Co-Sponsor Rep. Jay Hoffman 4/12/2024HouseAdded Co-Sponsor Rep. Katie Stuart 4/15/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit 4/16/2024HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Lindsey LaPointe 4/16/2024HouseHouse Floor Amendment No. 2 Referred to Rules Committee 4/17/2024HouseHouse Floor Amendment No. 2 Rules Refers to Mental Health & Addiction Committee 4/17/2024HouseSecond Reading - Short Debate 4/17/2024HouseHeld on Calendar Order of Second Reading - Short Debate 4/18/2024HouseHouse Floor Amendment No. 2 Recommends Be Adopted Mental Health & Addiction Committee; 017-000-000 4/19/2024HouseAdded Co-Sponsor Rep. Yolonda Morris 4/19/2024HouseHouse Floor Amendment No. 2 Adopted 4/19/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate 4/19/2024HouseAdded Co-Sponsor Rep. Maura Hirschauer 4/19/2024HouseThird Reading - Short Debate - Passed 086-020-000 4/19/2024HouseAdded Chief Co-Sponsor Rep. Sonya M. Harper 4/19/2024HouseAdded Chief Co-Sponsor Rep. Michael J. Kelly 4/19/2024HouseAdded Co-Sponsor Rep. Janet Yang Rohr 4/19/2024HouseRemoved Co-Sponsor Rep. Janet Yang Rohr 4/19/2024HouseAdded Co-Sponsor Rep. William E Hauter 4/19/2024HouseAdded Co-Sponsor Rep. Mark L. Walker 4/19/2024HouseAdded Co-Sponsor Rep. Matt Hanson 4/24/2024SenateArrive in Senate 4/24/2024SenatePlaced on Calendar Order of First Reading 4/24/2024SenateChief Senate Sponsor Sen. Karina Villa 4/24/2024SenateFirst Reading 4/24/2024SenateReferred to Assignments 5/1/2024SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura 5/1/2024SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings 5/6/2024SenateAdded as Alternate Co-Sponsor Sen. Laura Fine 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Terri Bryant 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Erica Harriss 5/10/2024SenateAdded as Alternate Co-Sponsor Sen. Robert Peters 5/14/2024SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons 5/14/2024SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen 5/15/2024SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison 5/21/2024SenateAdded as Alternate Co-Sponsor Sen. Patrick J. Joyce 8/8/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Robert Peters 8/8/2024SenateAdded as Alternate Co-Sponsor Sen. Bill Cunningham 8/16/2024SenateAdded as Alternate Co-Sponsor Sen. Mike Porfirio 8/19/2024SenateAdded as Alternate Co-Sponsor Sen. Natalie Toro 8/26/2024SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes 8/26/2024SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson 9/5/2024SenateAdded as Alternate Co-Sponsor Sen. Doris Turner 9/17/2024SenateAdded as Alternate Co-Sponsor Sen. Steve Stadelman 9/25/2024SenateAdded as Alternate Co-Sponsor Sen. Mark L. Walker 9/25/2024SenateAdded as Alternate Co-Sponsor Sen. Mark L. Walker 9/30/2024SenateAdded as Alternate Co-Sponsor Sen. David Koehler 10/9/2024SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy 10/21/2024SenateAdded as Alternate Co-Sponsor Sen. Ram Villivalam 10/23/2024SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva 10/23/2024SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick 10/29/2024SenateAdded as Alternate Co-Sponsor Sen. Linda Holmes 11/15/2024SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz 11/19/2024SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel 11/22/2024SenateAdded as Alternate Co-Sponsor Sen. Lakesia Collins 11/26/2024SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt 12/9/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Mary Edly-Allen 1/7/2025HouseSession Sine Die